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Best Mode of Delivery for Fetal Life-Limiting Conditions

Cooper, Shontreal MD, MPH; Williams, Nayo S. MD

doi: 10.1097/AOG.0000000000003065
Contents: Prenatal Diagnosis: Clinical Conundrums

A 38-year-old woman, gravida 3 para 2, with a history of two prior vaginal deliveries, at 18 weeks of gestation is diagnosed with fetal anencephaly. The patient asks: “May I undergo a scheduled primary cesarean delivery to optimize my baby's chance of survival?”

Management plans for fetal life-limiting conditions should use the shared decision-making model, especially as it pertains to mode of delivery.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Connecticut, Farmington, Connecticut.

Corresponding author: Nayo S. Williams, MD, Department of Maternal-Fetal Medicine, Obstetrics & Gynecology, UConn Health, 263 Farmington Avenue, Farmington, CT 06030-8071; email:

Financial Disclosure The authors did not report any potential conflicts of interest.

Each author has confirmed compliance with the journal's requirements for authorship.

Peer reviews are available at

© 2019 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.